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Just a few simple questions to begin.

Name

Email

Group Name or Affiliation

Estimated Number of Participants

Estimated Number of Participants
A
B
C
D

Preferred Duration

Preferred Duration
A
B
C
D
E

Intention or Area of Focus

Preferred Format

Preferred Format
A
B
C
D

Timing or Period You're Considering

Where is Your Group Based?

Anything Else You'd Like to Share?

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